Individual
MS. KIMBERLY JEAN HARDENBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7200
(931) 920-7206
Mailing address
419 S 1ST ST, CLARKSVILLE, TN 37040-3625
(931) 538-2471
(931) 920-7206
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN7008
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3906521
—
TN
01
—
4017179
BCBS
TN
Enumeration date
03/01/2007
Last updated
07/08/2007
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